NR 509 BATES TEST BANK MIDTERM
EXAM QUESTIONS AND CORRECT
ANSWERS GRADED A+
A patient presents for evaluation of a sharp, aching chest pain which
increases with breathing. Which anatomic area would you localize the
symptom to?
A) Musculoskeletal
B) Reproductive
C) Urinary
D) Endocrine - ANSWER- A) Musculoskeletal
Chest pain may be due to a musculoskeletal condition, such as
costochondritis or
intercostal muscle cramp. This would be worsened by motion of the
chest wall. Pleuritic chest pain is also a sharp chest pain which increases
with a deep breath. This type of pain can
occur with inflammation of the pleura from pneumonia or other
conditions and pulmonary
embolus.
,A patient comes to the emergency room for evaluation of shortness of
breath. To which anatomic region would you assign the symptom?
A) Reproductive
B) Urinary
C) Cardiac
D) Hematologic - ANSWER- C) Cardiac
Cardiac disorders such as congestive heart failure are the most likely on
this list to result in shortness of breath. There are cases within the other
categories which may also result
in shortness of breath, such as anemia in the hematologic category,
pregnancy in the reproductive
category, or sepsis with UTI in the urinary category.
A patient presents for evaluation of a cough. Which of the following
anatomic regions can be responsible for a cough?
A) Ophthalmologic
B) Auditory
C) Cardiac
D) Endocrine - ANSWER- C) Cardiac
,The cardiac system can cause a cough if the patient has congestive heart
failure. This results in fluid buildup in the lungs, which in turn can cause
a cough that produces pink,
frothy sputum. A foreign body in the ear may also cause a cough by
stimulating Arnold's branch of the vagus nerve, but this is less likely to
be seen clinically than heart failure.
A 22-year-old advertising copywriter presents for evaluation of joint
pain. The pain is new,
located in the wrists and fingers bilaterally, with some subjective fever.
The patient denies a
rash; she also denies recent travel or camping activities. She has a family
history significant for
rheumatoid arthritis. Based on this information, which of the following
pathologic processes
would be the most correct?
A) Infectious
B) Inflammatory
C) Hematologic
D) Traumatic - ANSWER- B) Inflammatory
The description is most consistent with an inflammatory process,
although all the other etiologies should be considered. Lyme disease is
an infection which commonly causes
, arthritis, hemophilia is a hematologic condition which can cause
bleeding in the joints, and trauma can obviously cause joint pain.
A 47-year-old contractor presents for evaluation of neck pain, which has
been intermittent for several years. He normally takes over-the-counter
medications to ease the pain, but this time they haven't worked as well
and he still has discomfort. He recently wallpapered the entire second
floor in his house, which caused him great discomfort. The pain resolved
with rest. He denies fever, chills, rash, upper respiratory symptoms,
trauma, or injury to the neck. Based on this description, what is the most
likely pathologic process?
A) Infectious
B) Neoplastic
C) Degenerative
D) Traumatic - ANSWER- C) Degenerative
The description is most consistent with degenerative arthritis in the neck.
The
patient has had intermittent symptoms and the questions asked to elicit
pertinent negative and
positive findings are negative for infectious, traumatic, or neoplastic
disease.
A 15-year-old high school sophomore comes to the clinic for evaluation
of a 3-week history
EXAM QUESTIONS AND CORRECT
ANSWERS GRADED A+
A patient presents for evaluation of a sharp, aching chest pain which
increases with breathing. Which anatomic area would you localize the
symptom to?
A) Musculoskeletal
B) Reproductive
C) Urinary
D) Endocrine - ANSWER- A) Musculoskeletal
Chest pain may be due to a musculoskeletal condition, such as
costochondritis or
intercostal muscle cramp. This would be worsened by motion of the
chest wall. Pleuritic chest pain is also a sharp chest pain which increases
with a deep breath. This type of pain can
occur with inflammation of the pleura from pneumonia or other
conditions and pulmonary
embolus.
,A patient comes to the emergency room for evaluation of shortness of
breath. To which anatomic region would you assign the symptom?
A) Reproductive
B) Urinary
C) Cardiac
D) Hematologic - ANSWER- C) Cardiac
Cardiac disorders such as congestive heart failure are the most likely on
this list to result in shortness of breath. There are cases within the other
categories which may also result
in shortness of breath, such as anemia in the hematologic category,
pregnancy in the reproductive
category, or sepsis with UTI in the urinary category.
A patient presents for evaluation of a cough. Which of the following
anatomic regions can be responsible for a cough?
A) Ophthalmologic
B) Auditory
C) Cardiac
D) Endocrine - ANSWER- C) Cardiac
,The cardiac system can cause a cough if the patient has congestive heart
failure. This results in fluid buildup in the lungs, which in turn can cause
a cough that produces pink,
frothy sputum. A foreign body in the ear may also cause a cough by
stimulating Arnold's branch of the vagus nerve, but this is less likely to
be seen clinically than heart failure.
A 22-year-old advertising copywriter presents for evaluation of joint
pain. The pain is new,
located in the wrists and fingers bilaterally, with some subjective fever.
The patient denies a
rash; she also denies recent travel or camping activities. She has a family
history significant for
rheumatoid arthritis. Based on this information, which of the following
pathologic processes
would be the most correct?
A) Infectious
B) Inflammatory
C) Hematologic
D) Traumatic - ANSWER- B) Inflammatory
The description is most consistent with an inflammatory process,
although all the other etiologies should be considered. Lyme disease is
an infection which commonly causes
, arthritis, hemophilia is a hematologic condition which can cause
bleeding in the joints, and trauma can obviously cause joint pain.
A 47-year-old contractor presents for evaluation of neck pain, which has
been intermittent for several years. He normally takes over-the-counter
medications to ease the pain, but this time they haven't worked as well
and he still has discomfort. He recently wallpapered the entire second
floor in his house, which caused him great discomfort. The pain resolved
with rest. He denies fever, chills, rash, upper respiratory symptoms,
trauma, or injury to the neck. Based on this description, what is the most
likely pathologic process?
A) Infectious
B) Neoplastic
C) Degenerative
D) Traumatic - ANSWER- C) Degenerative
The description is most consistent with degenerative arthritis in the neck.
The
patient has had intermittent symptoms and the questions asked to elicit
pertinent negative and
positive findings are negative for infectious, traumatic, or neoplastic
disease.
A 15-year-old high school sophomore comes to the clinic for evaluation
of a 3-week history
